| NPI | 1871630152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A122550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 46960) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-06-16 |