| NPI | 1285878504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P3939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 539516) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2024-04-03 |