| NPI | 1891089363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 142541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48900) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2016-07-11 |