| NPI | 1508180761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A142920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199482) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2016-08-29 |