| NPI | 1992742381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 12900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G68671) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-08-01 |