| NPI | 1194967687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD482542) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2024-07-19 |