| NPI | 1093876245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A80031) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A80031) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-06-08 |