| NPI | 1689863011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD197436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101650) |
| 208000000X Pediatrics (Licence: OR MD197436) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-06-01 |