| NPI | 1841210085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G89222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 04176) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-07-27 |