| NPI | 1962489369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 5497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 71720) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-03-01 |