| NPI | 1255742052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 59100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A140902) |
| 208000000X Pediatrics (Licence: PA MT205715) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2022-03-23 |