| NPI | 1154321255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L2540) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E3317) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-14 |