| NPI | 1144369174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N3032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2005-0281) |
| 208000000X Pediatrics (Licence: CA A104932) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-09-17 |