| NPI | 1639461734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 65492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124478) |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2023-08-28 |