| NPI | 1750461265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 45407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2009-01551) |
| 208000000X Pediatrics (Licence: TX P7929) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-03-31 |