| NPI | 1992097059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 39582) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2014-09-22 |