| NPI | 1568606564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 14337) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2023-07-13 |