| NPI | 1386207207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 313097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10066856) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-06-07 |