| NPI | 1497769020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 35509) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-01-30 |