| NPI | 1831383447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60101017) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94867) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2014-04-14 |