| NPI | 1639532294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A168525) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 68188) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-06-25 |