| NPI | 1083804769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N8281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93232) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2011-06-23 |