| NPI | 1902224215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301503517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 149706) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-07-02 |