| NPI | 1770016826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 152678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A158751) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-01-25 |