| NPI | 1699750497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C52575) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 13884) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-12-03 |