| NPI | 1154512341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0106501) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5886) |
| Enumeration Date | 2007-08-04 |
| Last Update Date | 2026-05-11 |