| NPI | 1285715672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 54949) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K9708) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-04-04 |