| NPI | 1841551314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME136408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q3136) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2019-10-28 |