| NPI | 1861849663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 21553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI DOS1850) |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2023-08-04 |