| NPI | 1003024977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A 109157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98245) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2021-11-29 |