| NPI | 1063049906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U1917) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX U1917) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-08-08 |