| NPI | 1285690768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 100592) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L4641) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-01-09 |