| NPI | 1750585329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023730) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-01-05 |