| NPI | 1942316294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N8526) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 233278) |
| 208000000X Pediatrics (Licence: NC 2006-00692) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-02-28 |