| NPI | 1720615644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 183364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 1720615644) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-05-03 |