| NPI | 1427443803 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD25605) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A144121) | 
| Enumeration Date | 2015-04-01 | 
| Last Update Date | 2022-08-31 |