| NPI | 1407872757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G27719) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G27719) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-07-23 |