| NPI | 1396190823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S4810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10056548) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-08-09 |