| NPI | 1306292503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020021135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10057068) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-07-10 |