| NPI | 1114254182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 1746) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A10977) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2019-09-16 |