| NPI | 1457567935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301093128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A97605) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-04-17 |