| NPI | 1073556221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N4941) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0061218) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-11-16 |