| NPI | 1396096418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.121203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119861) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2021-12-15 |