| NPI | 1275283483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME182400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A188918) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-08-05 |