| NPI | 1912087313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD422430) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L7019) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-10-23 |