| NPI | 1932300811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 49755) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A88380) |
| 208000000X Pediatrics (Licence: NV 12721) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-02-06 |