| NPI | 1003817347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C153588) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K3590) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-05-17 |