| NPI | 1164713301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0078419) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q0502) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2020-10-12 |