| NPI | 1811221641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A11985) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 005763) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2017-02-24 |