| NPI | 1396823910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 242783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83403) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-11-29 |