| NPI | 1760061147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A195402) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351048033) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-06-18 |