| NPI | 1871970236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R4968) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 301171) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2025-08-01 |