| NPI | 1942318589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 20303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A92773) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-04-08 |