| NPI | 1184066367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A126520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126520) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2020-05-06 |