| NPI | 1538502679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A17941) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS018259) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-03-29 |