| NPI | 1912467556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A180398) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 180398) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-09-21 |