| NPI | 1487892725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 57018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246974) |
| 208000000X Pediatrics (Licence: CA C145933) | |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2022-03-18 |