| NPI | 1568426161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C175740) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M0181) |
| 202D00000X (Licence: CA C175740) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2023-07-11 |