| NPI | 1790755163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA a77260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 209894) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-04-30 |