| NPI | 1215370663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI DOS-2021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10047238) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2020-06-12 |