| NPI | 1306869300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C144069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX G2825) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-02-28 |