| NPI | 1467957365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148192) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A173519) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-07-14 |