| NPI | 1740496215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 247675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9627) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2011-12-08 |