| NPI | 1376840587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY TL4426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114032) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2018-08-01 |