| NPI | 1750575346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD436831) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M5292) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2016-02-23 |