| NPI | 1194069062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX D-8884) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX D-8884) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |