| NPI | 1407176894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7663) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0036640) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2022-02-09 |