| NPI | 1083840920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A124814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 8536A) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2013-09-18 |