| NPI | 1659399327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A56413) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME105931) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-01-11 |