| NPI | 1104839778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G80183) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA g080183) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-05-18 |