| NPI | 1831201334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD24761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044048) |
| 208000000X Pediatrics (Licence: CA G64232) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |