| NPI | 1346358108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0056177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M3962) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2021-05-19 |