| NPI | 1366649147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0195) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95590) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2009-07-27 |