| NPI | 1255316543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME106302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A85531) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2010-11-24 |