| NPI | 1194210518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-06378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1872) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2026-05-22 |