| NPI | 1922206135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C144212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101256204) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-03-02 |