| NPI | 1871550871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 048173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H8785) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |