| NPI | 1497800627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V3764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR LIC12727) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2025-03-19 |