| NPI | 1023220936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 28378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9608) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-10-03 |