| NPI | 1487985859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N3350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N3350) |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2012-04-11 |