| NPI | 1881662161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP60270441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A7699) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2014-06-13 |