| NPI | 1457687204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A121879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR t2009-123) |
| 208000000X Pediatrics (Licence: CA A121879) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2023-04-20 |