| NPI | 1295962918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A108389) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2022-04-11 |