| NPI | 1457359663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N6289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C51242) |
| 208000000X Pediatrics (Licence: TX FTL 42897) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2017-04-12 |