| NPI | 1922700137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A209481) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61425563) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2026-08-13 |