| NPI | 1992449177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A23983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5151015418) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-08-15 |