| NPI | 1760846315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A168925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD193709) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-07-31 |