| NPI | 1417335381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R4307) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0053417) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2024-08-02 |