| NPI | 1326330374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0040959) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2022-07-21 |