| NPI | 1841324456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A71522) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a711527) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-03-02 |