| NPI | 1679215883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10078873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 744831) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |