| NPI | 1518429844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178437) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA E1370718) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-08-05 |