| NPI | 1154634483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A127834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10037144) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2023-05-24 |