| NPI | 1982865614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 46504) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A103556) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-08-24 |