| NPI | 1114968310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A15621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 2234) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-10-13 |