| NPI | 1205153061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 0037539) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2016-04-01 |