| NPI | 1124360565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 266349) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A158181) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-10-11 |