| NPI | 1437444551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N7600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011006553) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2017-05-01 |