| NPI | 1649559188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P8974) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10042042) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2015-01-26 |