| NPI | 1457492381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N2983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 24462) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-07-23 |