| NPI | 1265750129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A127080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0011975) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2017-03-09 |