| NPI | 1184859407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 245380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A103932) |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2014-12-15 |