| NPI | 1902890684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX H5350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX H5350) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-06-10 |