| NPI | 1104072321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-22141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-00899) |
| 208000000X Pediatrics (Licence: CA A104301) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2022-03-29 |