| NPI | 1346369311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A89386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A89386) |
| 208000000X Pediatrics (Licence: CA A896786) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-10-20 |