| NPI | 1346220217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G34315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55447) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-02-28 |