| NPI | 1982745758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A50451) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M3519) |
| 208000000X Pediatrics (Licence: VA 0101236298) | |
| 208000000X Pediatrics (Licence: WV 21523) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |