| NPI | 1437531977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A18648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT016722) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2023-02-27 |