| NPI | 1194788752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD184900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L8768) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2018-03-17 |