| NPI | 1588082028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R1835) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 73426-20) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-10-07 |