| NPI | 1326014697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S2351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101225086) |
| 208000000X Pediatrics (Licence: NC 2008-02032) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-04-12 |