| NPI | 1346596103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX ADO894952421) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2021-05-25 |