| NPI | 1770786543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q6656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008009819) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2016-07-20 |