| NPI | 1881970515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 1559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A121396) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2015-10-22 |