| NPI | 1265628051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 255197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10028148) |
| 208000000X Pediatrics (Licence: IA 39136) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2013-06-05 |