| NPI | 1275897076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q8890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 53236) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2025-04-16 |