| NPI | 1568624872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10031886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A116934) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2021-12-14 |