| NPI | 1851651236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 0000061193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149146) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-03-21 |