| NPI | 1720291719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA md436297) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10017487) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-08-29 |