| NPI | 1467598508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20084) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-12-01 |