| NPI | 1720256217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301097960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a97141) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2021-12-14 |