| NPI | 1841494762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N2283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 16899) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-02-21 |