| NPI | 1083147011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 60296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T5975) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2024-08-26 |