| NPI | 1215062310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G835980) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G835980) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-01-31 |