| NPI | 1053401612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R8085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-2593) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-09-13 |