| NPI | 1083766208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-02163) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A90427) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-12-13 |