| NPI | 1881072171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S6972) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN 21170) |
| 208000000X Pediatrics (Licence: SC 52112) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2021-01-11 |