| NPI | 1023206075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 48251) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101663) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2014-11-25 |