| NPI | 1245423342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A118695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N1751) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-03-11 |