| NPI | 1497138002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A166758) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301501066) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-06-04 |