| NPI | 1548269087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C175369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 022786) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2024-07-16 |