| NPI | 1609455583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A196249) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD224577) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-05-06 |