| NPI | 1740712041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO209886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A17201) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-05-24 |