| NPI | 1376838615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q3721) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2014-00532) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2017-05-09 |