| NPI | 1164876264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD194290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A153440) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2020-09-17 |