| NPI | 1821343948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C186237) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116024734) |
| Enumeration Date | 2012-07-14 |
| Last Update Date | 2023-09-15 |