| NPI | 1275590028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C148727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 29114) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-01-11 |