| NPI | 1396793691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A153240) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 65846) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-08-23 |