| NPI | 1730686098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S9969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10063719) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-07-09 |