| NPI | 1104850650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX E9337) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX E9337) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-11-08 |