| NPI | 1558658286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q9602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 72193) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-09-23 |