| NPI | 1518371046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 24441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A173511) |
| 208000000X Pediatrics (Licence: VA 0116027105) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-09-18 |