| NPI | 1942612742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-02608) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A142857) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-03-02 |