| NPI | 1609059005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101257526) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83617) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-03-03 |