| NPI | 1922402858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A131678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 131678) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-02-01 |