| NPI | 1346225653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G77556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA g77556) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-01-24 |