| NPI | 1013065036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 45855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A89080) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-01-18 |