| NPI | 1073893186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 254706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A117830) |
| 208000000X Pediatrics (Licence: NC 2018-01904) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2018-07-30 |