| NPI | 1417919929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 47184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G62810) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA G62810) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-02-06 |