| NPI | 1770624439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C50055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C050055) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-06-20 |