| NPI | 1548267842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0429532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C158818) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-03-07 |