| NPI | 1275154692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U3844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10072149) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-05-03 |