| NPI | 1578737268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 61564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q4056) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2017-01-25 |