| NPI | 1518463421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A175905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 89639) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2022-01-12 |