| NPI | 1881708915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR MD226655) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L6484) |
| 208000000X Pediatrics (Licence: OR MD226655) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX L6484) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-12-11 |