| NPI | 1124104294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 55891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G064543) |
| 208000000X Pediatrics (Licence: VA 0101058575) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-07-28 |