| NPI | 1306855978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 7625419-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93953) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-10-06 |