| NPI | 1407891070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C52916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036099377) |
| 208000000X Pediatrics (Licence: IL 036099377) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2021-12-13 |