| NPI | 1861628141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 68858) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101278) |
| 208000000X Pediatrics (Licence: AL 30339) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2014-09-12 |