| NPI | 1831556455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023005457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R4000) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-09-07 |