| NPI | 1003072695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q2478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2010-0174) |
| 208000000X Pediatrics (Licence: IL 036124320) | |
| 208000000X Pediatrics (Licence: NC 2014-01745) | |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2015-07-19 |