| NPI | 1255593802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A13682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV Do 1625) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-05-26 |