| NPI | 1558520544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P0078) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0032382) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2017-03-10 |