| NPI | 1558372508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A914510) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91451) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-11-26 |