| NPI | 1972861441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A12833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1507) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2021-12-06 |