| NPI | 1851619589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6624) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10036635) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2014-01-10 |