| NPI | 1942526322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS12051) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 4185) |
| 208000000X Pediatrics (Licence: TX N4998) | |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2016-12-01 |