| NPI | 1972707560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 009880) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2292) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-07-22 |