| NPI | 1104809250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M2396) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX M2396) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2026-02-09 |