| NPI | 1326239500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5546) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10029700) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-05-13 |