| NPI | 1639524523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U9988) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD477829) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-04-08 |