| NPI | 1558333872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1044) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD421405) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2011-11-11 |