| NPI | 1497915508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0731) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10032376) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-10-30 |