| NPI | 1942286711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME93101) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C52315) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-02-17 |