| NPI | 1417690280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A190663) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX W6672) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-07-08 |