| NPI | 1467664003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 77366) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2017-01-17 |