| NPI | 1023334166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 62901) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0036642) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2021-04-15 |