| NPI | 1528263274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P1081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201482) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-04-18 |