| NPI | 1629398862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A111702) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD46622) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2018-07-20 |