| NPI | 1184203630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A22204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-18634) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-11-11 |