| NPI | 1376509745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A84239) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-06-17 |