| NPI | 1437618790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61268633) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA PTL1523) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2025-05-01 |