| NPI | 1336601087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V1214) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 331069) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-10-11 |