| NPI | 1083872931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 302057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3186) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-10-20 |