| NPI | 1538249958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K0536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K0536) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-03-11 |