| NPI | 1194779421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301038205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G89000) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-12-02 |