| NPI | 1275557639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0058689) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A92685) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-06-22 |