| NPI | 1609224609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A18852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO4897) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-06-24 |