| NPI | 1700050333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A103087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD167663) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-01-21 |