| NPI | 1639338494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R4165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS014410) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-11-13 |