| NPI | 1275724387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q6694) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 1006904) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-02-15 |