| NPI | 1568691293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 20713) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A113921) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2023-02-03 |