| NPI | 1740577345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098529) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-04-09 |