| NPI | 1194919027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 203836) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-11-07 |