| NPI | 1710507207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A20950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R3340) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-03-26 |