| NPI | 1003877531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A78060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA AA78060) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2021-04-14 |