| NPI | 1740441732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A131113) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A131113) |
| 208000000X Pediatrics (Licence: MA 247149) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-09-29 |