| NPI | 1487873386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P4940) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A9308) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2026-01-08 |