| NPI | 1437527348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 137942) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: CA 137942) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2026-03-12 |