| NPI | 1629178975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 42628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A84528) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-09-18 |