| NPI | 1205270584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP61516015) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q7437) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-08-17 |