| NPI | 1780889360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A102576) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0022199) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2021-12-20 |