| NPI | 1073748638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD152995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107878) |
| 208000000X Pediatrics (Licence: WA 60236668) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2020-04-13 |