| NPI | 1831142298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K9800) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX K9800) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: TX K9800) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-09-15 |