| NPI | 1083693691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P5477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C53895) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-11-05 |