| NPI | 1588982466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A111970) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2012-10-29 |