| NPI | 1265052518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U2337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10070708) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-06-09 |