| NPI | 1831533561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R2144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 29979) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2017-07-10 |