| NPI | 1366468241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 27348) |
| 208000000X Pediatrics (Licence: IN 01070235A) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-07-22 |