| NPI | 1073868261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102203986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10042728) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2016-01-27 |