| NPI | 1902113988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 57232-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A113715) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2016-06-09 |