| NPI | 1841787058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U5230) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A174202) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-09-07 |