| NPI | 1285721175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 9086607-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A62729) |
| 208000000X Pediatrics (Licence: UT 90866071205) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-03-24 |