| NPI | 1205247525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T7709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A138436) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-08-04 |