| NPI | 1649911306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351049470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A202866) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-10-30 |