| NPI | 1740786862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 103552-875) |
| 208000000X Pediatrics (Licence: CA A164839) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2026-03-06 |