| NPI | 1013122944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N1864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98737) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-11-19 |