| NPI | 1134681265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A179810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11912786-1205) |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2022-08-30 |