| NPI | 1275674178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0614) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 202253) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-02-14 |