| NPI | 1538435417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD171511) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119727) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-03-22 |