| NPI | 1710207113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q7543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101253882) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-12-17 |