| NPI | 1710612338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A201639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL L.5801R) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2025-09-09 |