| NPI | 1447871132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U5468) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10072199) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2023-08-01 |