| NPI | 1003051756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 47796931205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 47796938905) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2021-12-20 |