| NPI | 1699067470 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q0912) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q0912) | 
| Enumeration Date | 2011-05-11 | 
| Last Update Date | 2016-11-16 |