| NPI | 1518161116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60094958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023106) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-10-29 |