| NPI | 1598843088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0063174) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83000) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-11-18 |