| NPI | 1083663074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J3871) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J3871) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX J3871) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2025-01-13 |