| NPI | 1992266159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP61433383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19897) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-08-30 |