| NPI | 1780752683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A86373) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A86373) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-04-27 |