| NPI | 1679061345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T7333) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS018759) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2024-11-04 |