| NPI | 1801883079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 223119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A73906) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-05-01 |