| NPI | 1467874537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J5154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J5154) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2020-09-09 |