| NPI | 1548411127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A103994) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428630) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |