| NPI | 1013176197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10032386) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-01-25 |