| NPI | 1467795369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR MD186937) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 127522) |
| 208000000X Pediatrics (Licence: OR MD186937) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-07-18 |