| NPI | 1891941282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A117494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091756) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2018-06-05 |