| NPI | 1801230958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q7194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0045912) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2020-12-15 |