| NPI | 1609258821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA PGY.202959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R6694) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-04-06 |