| NPI | 1134689573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD224628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A179615) |
| 208000000X Pediatrics (Licence: WA MD70054169) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-12-01 |