| NPI | 1528220381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1512) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10031875) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-07-17 |