| NPI | 1780625566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX K1802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K1802) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-06-07 |