| NPI | 1578798633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P2326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN13477) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2015-10-01 |