| NPI | 1336250364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD208662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A84522) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-31 |