| NPI | 1154767770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 289371) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A135388) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2021-10-21 |