| NPI | 1427225895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 12377184-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12377184-8905) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-07-22 |