| NPI | 1427243559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9464) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0027266) |
| 208000000X Pediatrics (Licence: MD D0069290) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2014-09-15 |