| NPI | 1164715579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 17988) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112091) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2023-02-01 |