| NPI | 1356337505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A51491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A51491) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-03-07 |