| NPI | 1093089187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U6945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 29475) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2024-07-25 |