| NPI | 1588609572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G51082) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G51082) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2011-02-02 |