| NPI | 1649711821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD198642) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A184250) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-07-11 |