| NPI | 1508808718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD479618) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M5183) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-10-20 |