| NPI | 1467795096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 320103) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A134922) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-08-23 |