| NPI | 1366588626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 239868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A74740) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-02-23 |