| NPI | 1457973745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U8933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 138077) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-11-26 |