| NPI | 1497946123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME99344) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A88050) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2018-10-23 |