| NPI | 1639332380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61230170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 239725) |
| 208000000X Pediatrics (Licence: CA A104700) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-09-20 |