| NPI | 1356662662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0074902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6309) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2026-01-08 |