| NPI | 1609047042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A 12438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 239204) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-04-08 |