| NPI | 1154740033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD205810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A137768) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-09-07 |