| NPI | 1154349389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD458454) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L3841) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-09-28 |