| NPI | 1275898280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0088) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 46281) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-03-14 |