| NPI | 1316127814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N3761) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital, Children |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-07-10 |