| NPI | 1528563996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A185433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 275921) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-11-04 |