| NPI | 1114033776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N6393) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D34605) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-08-27 |