| NPI | 1427386341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60262586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C176452) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2022-06-13 |