| NPI | 1205095965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P8553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C162807) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2022-08-02 |