| NPI | 1851529671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C153675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-01343) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2021-08-16 |