| NPI | 1164527396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 36504) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A88268) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-01-30 |