| NPI | 1740786862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A164839) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-09-27 |