| NPI | 1043293376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 42205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5427) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-12-16 |