| NPI | 1124125943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A86445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301087156) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-23 |