| NPI | 1780213512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0075707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U3597) |
| 208000000X Pediatrics (Licence: TX BP10070700) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-09-05 |