| NPI | 1356581979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 053146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L9447) |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |