| NPI | 1194393397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10075258) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-09-09 |