| NPI | 1750725396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q9431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10047055) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2021-03-17 |