| NPI | 1518285568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 16201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107911) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2026-08-21 |