| NPI | 1962587600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 41297) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C52920) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-06-22 |