| NPI | 1851364624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 62180) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H4625) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2019-12-27 |