| NPI | 1033342712 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43331) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 109089) | 
| Enumeration Date | 2009-08-28 | 
| Last Update Date | 2016-04-26 |