| NPI | 1730274507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 11197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7835) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-03-16 |