| NPI | 1376833319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 30958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10030754) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-11-05 |