| NPI | 1871852988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 48186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A121211) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-10-26 |