| NPI | 1093041451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U1652) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 200753) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-03-14 |