| NPI | 1154546323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101241880) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102684) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2023-05-14 |