| NPI | 1346879657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U3294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10070706) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2023-05-26 |