| NPI | 1669887790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101273311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149115) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-01-10 |