| NPI | 1225199466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60247487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K4765) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-12-12 |