| NPI | 1730534249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10056547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S1793) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-06-26 |