| NPI | 1851820534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 18483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 00009044) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-09-16 |