| NPI | 1427342849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 14701) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MD 20135) |
| 208000000X Pediatrics (Licence: TX J1243) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |