| NPI | 1265508444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 20003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85200) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-06-08 |