| NPI | 1336522952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A146287) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KS 04-52069) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2026-07-14 |