| NPI | 1255425989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 24712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H4609) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: TX H4609) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MS 24712) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-02-17 |