| NPI | 1750745139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210001304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S7202) |
| 208000000X Pediatrics (Licence: CA A141077) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-09-07 |