| NPI | 1093009946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC 042297) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-01-12 |