| NPI | 1316259682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 18884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202928) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-06-07 |