| NPI | 1518980465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4621) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-03-05 |