| NPI | 1972530830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C196949) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018012073) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2025-03-20 |