| NPI | 1760661516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A97610) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A97610) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2012-01-11 |