| NPI | 1275751893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX L6444) |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: TX L6444) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-03-07 |