| NPI | 1528412871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S2845) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10056549) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2019-07-24 |