| NPI | 1366029910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A24129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 0102208625) |
| 208000000X Pediatrics (Licence: VA 0102208625) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2026-10-06 |