| NPI | 1528440708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A17113) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116028530) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2021-08-03 |