| NPI | 1104350248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T7918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2020-0571) |
| 208000000X Pediatrics (Licence: NM 390200000X) | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2023-04-16 |