| NPI | 1801063433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99260) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-05-05 |