| NPI | 1235620543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T1301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 174137) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2022-06-09 |