| NPI | 1215958756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME129495) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L9529) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-10-13 |