| NPI | 1891767232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX H6062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 32065) |
| 208000000X Pediatrics (Licence: VA 0101252892) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-01-26 |