| NPI | 1922369404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0042810) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2015-11-17 |