| NPI | 1891719035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD219082) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A81020) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-10-01 |