| NPI | 1669633467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-00793) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A103305) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-09-03 |