| NPI | 1982622064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M3466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-4425) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-08-04 |