| NPI | 1235330176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301085322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX p9665) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-09-26 |