| NPI | 1215131602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0055007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N6641) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2022-06-14 |