| NPI | 1518378256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A148302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206193) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-09-14 |