| NPI | 1801117866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C154640) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 51150) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-11-04 |