| NPI | 1417903428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A48390) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2014-02-17 |