| NPI | 1538372032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U3817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A93574) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-08-29 |