| NPI | 1487883633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 27548) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N0777) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2026-05-13 |