| NPI | 1538554308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 183253) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 29739) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2026-02-02 |