| NPI | 1073812731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 40152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P7427) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-01-15 |