| NPI | 1487830709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 13368) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97047) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-02-19 |