| NPI | 1265745756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C167801) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 56174) |
| 208000000X Pediatrics (Licence: KY 46105) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2020-10-07 |