| NPI | 1588792535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 09414R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G75876) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-10-07 |