| NPI | 1871507830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M4538) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A87620) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-12-28 |