| NPI | 1275935363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U8039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-10945) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-10-30 |