| NPI | 1700198579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013008087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R8355) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2025-09-09 |