| NPI | 1093988297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS015212) |
| 208000000X Pediatrics (Licence: MO 2006016556) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2022-01-28 |