| NPI | 1396856233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA G86585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G86585) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-04-05 |