| NPI | 1598743247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N2778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070865) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-10-06 |