| NPI | 1215172606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N7336) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2020-05-28 |