| NPI | 1598106437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V3248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2019-0212) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2026-03-09 |