| NPI | 1740467299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A126181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 243664) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2018-03-17 |