| NPI | 1942578117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U0663) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119049) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2023-03-06 |