| NPI | 1184967960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013020310) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T3296) |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2021-11-07 |