| NPI | 1174662191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A122751) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2006-0241) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-03-13 |