| NPI | 1134534928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD213631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A150434) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-09-30 |