| NPI | 1134249972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX K9536) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301048013) |
| 208000000X Pediatrics (Licence: TX k9536) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-09-16 |