| NPI | 1275853277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S5223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL32699) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2024-12-30 |