| NPI | 1932224409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M5559) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M5559) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-03-05 |