| NPI | 1649776758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 36018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A175095) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-01-26 |