| NPI | 1750910501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 336166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10070690) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2023-06-01 |