| NPI | 1710107271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 135103) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 46925) |
| 208000000X Pediatrics (Licence: TX N4979) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-05-29 |