| NPI | 1841853793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A196354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10066863) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2025-04-15 |