| NPI | 1487865291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 107311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95278) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-12-16 |