| NPI | 1629566278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022025250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S9891) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-07-04 |