| NPI | 1376733899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD213544) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M7648) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-01-12 |