| NPI | 1619164456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A101391) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BT2341066-8179) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2011-03-17 |