| NPI | 1942461983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 53060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A115607) |
| 208000000X Pediatrics (Licence: PA MD452062) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2015-07-10 |