| NPI | 1972558807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A77790) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 43302) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-02-15 |