| NPI | 1598959447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M7152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27762) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2015-09-22 |