| NPI | 1114196417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C174337) |
| Additional Taxonomies | 174400000X Specialist (Licence: 4301083958) |
| 208000000X Pediatrics (Licence: MI 4301083958) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2023-10-05 |