| NPI | 1366441164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A16419) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS9557) |
| 208000000X Pediatrics (Licence: NY 234480) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2021-12-16 |