| NPI | 1376983544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S2345) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S2345) |
| 208000000X Pediatrics (Licence: MO 2013018917) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-11-06 |