| NPI | 1073609400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G66089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301073637) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-10-14 |