| NPI | 1518077205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1608) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 13516) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-06-10 |