| NPI | 1508060179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD213086) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9326) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-12-05 |