| NPI | 1326354069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 149858) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301095978) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2022-01-04 |