| NPI | 1851449649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2007-01724)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A62559)  | 
| 208000000X Pediatrics (Licence: GA 062765)  | |
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2009-10-05 |