| NPI | 1053576462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD437752) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102493) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2009-08-26 |