| NPI | 1518166024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D66379) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94557) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-11-11 |