| NPI | 1770287450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A207300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 12498) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2026-05-04 |