| NPI | 1700107802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q9080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP-10036655) |
| 208000000X Pediatrics (Licence: TX BP-10036655) | |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2016-11-21 |