| NPI | 1255535852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC MD87212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0026587) |
| 208000000X Pediatrics (Licence: TX N4275) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-03-29 |