| NPI | 1326487505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A172971) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 257019) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-07-07 |