| NPI | 1508081092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A128529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH RT 1729) |
| 208000000X Pediatrics (Licence: NH 14908) | |
| 208000000X Pediatrics (Licence: TX N9954) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-01-31 |