| NPI | 1659934370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A24127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 71740) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2026-06-23 |