| NPI | 1104091008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME113990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A107255) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-10-30 |