| NPI | 1770581381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 022667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a70998) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2021-01-04 |