| NPI | 1073924130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0059103) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A176042) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-01-24 |