| NPI | 1023441623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A165938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD211587) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2022-06-29 |