| NPI | 1871673129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101243567) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M1706) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-01-26 |