| NPI | 1568727725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A134963) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P4709) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-08-08 |