| NPI | 1043731748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S5797) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10060938) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-06-16 |