| NPI | 1588636781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C41404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX G0296) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-08-10 |