| NPI | 1730442054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A157515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D79560) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D79560) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-08-28 |