| NPI | 1144203514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 7119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L9352) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2009-04-07 |