NPI | 1528272028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX K8877) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX K8877) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2021-02-06 |