| NPI | 1154516623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA g079897) |
| Additional Taxonomies | 174400000X Specialist (Licence: G79897) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-12-01 |