| NPI | 1598896599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60416152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93618) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2014-04-28 |