| NPI | 1013999218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C55148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 33097) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2015-11-20 |