| NPI | 1760474837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 14783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A070445) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2022-07-21 |