| NPI | 1598706087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 42318) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A88098) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-02-03 |