| NPI | 1790772572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-23703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 82912) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-02-13 |