| NPI | 1831149897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9734) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 42345) |
| 208000000X Pediatrics (Licence: GA 060928) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-04-30 |