| NPI | 1831833045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10078869) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 744827) |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2022-04-24 |