| NPI | 1881653582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 65952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R3M52) |
| 208000000X Pediatrics (Licence: TX Q6111) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-10-03 |