| NPI | 1538502034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S7677) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 301862) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-10-24 |