| NPI | 1710111943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-17516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A116868) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2021-05-27 |