| NPI | 1205149341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2015-0874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A118001) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2016-01-13 |