| NPI | 1164981197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 295082) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A183450) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-07-16 |