| NPI | 1922307164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P5043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10037322) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2016-01-05 |