| NPI | 1669900676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S6710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10059353) |
| Enumeration Date | 2017-06-03 |
| Last Update Date | 2020-10-01 |