| NPI | 1306842265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A62728) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2023-10-05 |