| NPI | 1578730073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301095528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124849) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-12-17 |