| NPI | 1760674527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA A111522) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P21929) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NH 16893) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2019-05-07 |