| NPI | 1851579981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR MD221474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A60237) |
| 208D00000X General Practice (Licence: OR MD221474) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2024-09-09 |