| NPI | 1134245558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G36270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G36279) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-07-15 |