| NPI | 1487140489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301503925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10063901) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2025-05-16 |