| NPI | 1154525731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.202902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0026312) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2009-11-18 |