| NPI | 1811999436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D76245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83873) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-10-31 |