| NPI | 1396736823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 51213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0703) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-04-19 |