| NPI | 1801018379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N3262) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 6579) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-10-21 |