| NPI | 1518974484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93003) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-01-31 |