| NPI | 1477503746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60317765) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A67060) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-04-30 |