| NPI | 1154393809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A54860) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A54860) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-09 |