| NPI | 1235422155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A82469) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 25455) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-03-07 |