| NPI | 1144221623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L0592) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX L0592) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-04-22 |