| NPI | 1013123827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD434735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A109149) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-12-15 |