| NPI | 1497175434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R7912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261683) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-08-16 |