| NPI | 1003954942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A52577) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A38447) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-04-23 |