| NPI | 1306165766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q9363) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102203393) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-04-21 |