| NPI | 1275531394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L6384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 9150) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2025-09-22 |