| NPI | 1811077787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A62612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A62612) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |