| NPI | 1750678231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C169909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6619) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-10-26 |