| NPI | 1316074354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A64924) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 38871) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-02-25 |