| NPI | 1669435046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 11007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80926) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2021-12-15 |