| NPI | 1639119977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A94846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 11828) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-12-06 |