| NPI | 1609839745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A64152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 22572) |
| 208000000X Pediatrics (Licence: WA MD60264241) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-05-12 |