| NPI | 1285806448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N6645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-21120) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2024-04-23 |