| NPI | 1710565320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A192425) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A192425) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-09-09 |