| NPI | 1053767434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A168601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 58623) |
| 208000000X Pediatrics (Licence: AZ R75544) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-06-12 |