| NPI | 1831452358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q2740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301099896) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2018-10-04 |