| NPI | 1598080970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-7945) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2019-12-17 |