| NPI | 1548526601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 323941) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T7005) |
| 208000000X Pediatrics (Licence: FL OS13209) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2023-09-06 |