| NPI | 1003278425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 21284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A152715) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-03-18 |