| NPI | 1285996264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 13852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT014930) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2025-08-08 |