| NPI | 1922021070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A47099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G37462) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-12-06 |