| NPI | 1982808556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0237) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023816) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-01-07 |