| NPI | 1013932086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 45984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80222) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-03-26 |