| NPI | 1104261031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q7875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10047234) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2017-04-11 |