| NPI | 1407097439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A119654) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60093475) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2021-12-15 |