| NPI | 1720584022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0116031228) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1537) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-03-26 |