| NPI | 1154558864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60068) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114885) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2024-03-13 |