| NPI | 1114962289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2007-01096) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A71910) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-10-25 |