| NPI | 1427376326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60740421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5231) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-10-15 |