| NPI | 1669636304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P0326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 235521) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-08-03 |