| NPI | 1043226137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 049699) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A81946) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-04-19 |