| NPI | 1215334115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A194324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149324) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2023-03-25 |