| NPI | 1740471937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10029680) |
| 208000000X Pediatrics (Licence: LA MD.204005) | |
| 208000000X Pediatrics (Licence: WV 24837) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2014-08-08 |