| NPI | 1174636310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 58220) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G58220) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-07-15 |