| NPI | 1699234674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 178377) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-08-29 |