| NPI | 1407117039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 57331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126810) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2019-11-04 |