| NPI | 1497932024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N7476) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 50392) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2013-10-10 |