| NPI | 1558476168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G86497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 100930) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-04-10 |