| NPI | 1144309519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U1491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101236206) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2023-11-21 |