| NPI | 1861688079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A111244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10028145) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2013-07-31 |