| NPI | 1346243250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9401220) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U1043) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2024-10-23 |