| NPI | 1669633624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME104378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C128729) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-12-08 |