| NPI | 1336103456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A11556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101015876) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2011-08-22 |