| NPI | 1306812151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX L4736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L4736) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2017-01-30 |