| NPI | 1326294257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7373) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 2374) |
| 208000000X Pediatrics (Licence: MA 253154) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2015-02-03 |