| NPI | 1982814752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 47933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102403) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-06-23 |