| NPI | 1235245895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M4914) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX TEMPLP) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-11-01 |