| NPI | 1447454137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A109148) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 16678) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-10-04 |