| NPI | 1104803717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L6313) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L6313) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2015-12-30 |