| NPI | 1225476849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R7821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 53722) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2018-07-18 |