| NPI | 1588720908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 12141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N8940) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2013-05-21 |