| NPI | 1619401080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD H97554) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A18294) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-07-12 |