| NPI | 1922072289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 35880) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A60817) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-07-17 |