| NPI | 1336304120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0071810) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2013-07-16 |