| NPI | 1851410633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD437893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93774) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-12-13 |