| NPI | 1982288544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA SFP37) |
| Additional Taxonomies | 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: CA SFP0000037) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA SFP0000037) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA SFP0000037) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-03-14 |