| NPI | 1306161179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0233) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX Q0233) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-01-08 |