| NPI | 1659721256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A161200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109438) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-11-09 |