| NPI | 1225198351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C53344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301072758) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-06-06 |