| NPI | 1639597578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019022896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15490) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-06-09 |