| NPI | 1831832500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A204239) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 74763) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-09-08 |