| NPI | 1871685370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 92861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD27885) |
| 208000000X Pediatrics (Licence: NC 2024-02643) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-10-08 |