| NPI | 1003259565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D90174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 10177621) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2023-01-05 |