| NPI | 1225775638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 194908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GU MTL-2026-014) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2026-03-29 |