| NPI | 1750340956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX F6675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 57273) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-09-22 |