| NPI | 1649236407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 74947) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G200163) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-09-25 |