| NPI | 1619330040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C179678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0056203) |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2022-08-26 |