| NPI | 1740443332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 062581) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M8873) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-08-07 |