| NPI | 1518906015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E4884) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-12-13 |