| NPI | 1124080544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A11796) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L7596) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2011-11-17 |