| NPI | 1740742873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX U3938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09989) |
| 208000000X Pediatrics (Licence: MO 2019021244) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2023-06-04 |