| NPI | 1275039109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T1956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 160384) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2026-08-10 |