| NPI | 1548722531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME167194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10081535) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-09-20 |