| NPI | 1770659567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P5234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A108844) |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2013-03-07 |