| NPI | 1912649294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A189510) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 10715) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2026-04-10 |