| NPI | 1093712523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD475626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N6439) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2021-12-10 |