| NPI | 1033615794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T1427) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 679298) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-11-08 |