| NPI | 1942215686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 52771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A52771) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-09-21 |