| NPI | 1710987474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA a93580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 22586) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |