| NPI | 1548551310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A 12529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 005596) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2013-01-16 |