| NPI | 1063117679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 14145061-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 14145061-1205) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-09-18 |