| NPI | 1265816243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A156316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA PGY.203077) |
| 208000000X Pediatrics (Licence: CA A156316) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-04-10 |