| NPI | 1295782043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M6508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 233324) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-09-10 |