| NPI | 1952627101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.121163) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2017-01-31 |