| NPI | 1780211086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA 20A21054) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A21054) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2025-05-15 |