| NPI | 1740201813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 060093) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M0268) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-10-13 |