| NPI | 1316974561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G80102) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA g80102) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-12-12 |