| NPI | 1326314675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A12542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 102249) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2026-04-07 |