| NPI | 1992095640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 31309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6106) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2015-08-24 |