| NPI | 1437592607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T9255) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260944) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-05-15 |