| NPI | 1538585211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A127486) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2016-05-11 |