| NPI | 1811292030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-05448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A11264) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-05-01 |