| NPI | 1114230927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0054547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112837) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2016-03-23 |