| NPI | 1336567619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD188778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A142355) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2024-09-04 |