| NPI | 1730471699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A56327) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A56327) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2025-05-14 |