| NPI | 1962761437 |
|---|---|
| Former Name | CANEITA QUIARA CREIGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4074) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 430111404) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2022-06-15 |