| NPI | 1619013729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME98775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L4068) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-07-21 |