| NPI | 1780802751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 55628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99216) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2018-07-21 |