| NPI | 1275638140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 78256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83657) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-07-02 |