| NPI | 1972794162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10029679) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-09-25 |