| NPI | 1548898133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS21712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U6739) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-11-04 |