| NPI | 1003041567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R4401) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX R4401) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2026-07-08 |