| NPI | 1821525734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A172726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 271132) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2021-12-20 |